痘痕赤白，各有所因，治法亦异。凡痕赤而作痒，血虚而有热也，用五味、牡丹皮。赤而作痛，余热也，用四君、
连翘、金银花。若发热而大便调和者，脾胃虚热也，用五味异功散。若发热而大便秘结者，肠胃内热也，用圣济犀角地
黄汤。若母有肝火，用加味逍遥散。若母有郁怒，用加味归脾汤，佐以加味逍遥散治之。痕白者多属气虚而血衰也，宜
固元气为本。痒而作渴者，气血俱虚也，十全大补汤之类。乳食减少，四肢倦怠者，中气虚也，五味异功散之类。气虚
发热者，补中益气汤之类。血虚发热者，当归补血汤之类，须参兼变之症治之。此症若服药而渐红活者，可治；色不转
者，不治，虽经年后，多患泻利而死。若妄投攻伐，祸在反掌。
一小儿痘疮，如期而愈，痕赤如赭，余谓此乳母有热也，诊之果有肝脾郁火，先用加味逍遥散四剂，与母服之，子
各饮少许，而并愈。
一小儿痘痕色赤作痛，热渴喜冷，大便不利，先用前胡枳壳散，便利渴止，再用圣济犀角地黄汤而安，又用芹菜汁
而靥。
一小儿痘痕色赤，大便不利，小便赤涩，作渴饮冷，此上焦实热也，先君用泻黄散，一剂顿愈；又用圣济犀角地黄
汤及芹菜汁而痊。
一小儿痘愈而痕赤作痛，内热作渴，二便不利，先君谓胃经热毒，用济生犀角地黄汤及芹菜汁而痊。
一小儿痘痕色白，时痛时痒，作渴饮汤，大便稀溏，此脾胃虚热也，用五味异功散加当归、黄 而瘥。
一小儿十六岁，痘痕白，用独参汤数斤，色渐如旧，又用地黄丸、大补汤而安。
一小儿痘后，因母怒痕赤，时或作痛，先用加味小柴胡汤、加味逍遥散，治其母而愈。
一小儿因乳母食膏粱之味，痘痕色赤，用清胃散治其母，而儿自愈。
一小儿痘痕色白，作痒发热，大便不实，诸药不应，余用五味异功散，每剂用人参一两，四剂之后，其热稍退，仍
用前药，兼服四神丸而愈。
一小儿痘痕白色，时或作痒，先君谓气血俱虚，不信，反服解毒之药，后变慢脾风而殁。
一男子患此，色白作痒，搔破脓水淋漓，恶寒体倦，余谓脾肺气虚，不信，反祛风败毒，果发搐而死。
一小儿患此，恶寒发热，或痒或痛，或白或赤，余谓气血俱虚，不悟，反降火祛风，发痉而死。
一小儿痘痕色白，服克伐之剂，致泻不止，余谓此脾气下陷也，不信，果殁，遍身如白敷粉，信气虚矣。
葛花解醒汤 治乳母酒醉后，乳儿遗热为患。
白豆蔻 砂仁 葛花（各五钱） 干生姜 白术（炒） 泽泻 神
曲（炒黄。各一钱） 白茯苓 陈皮 人参 猪苓 木香（各五分） 青皮（三分）
上为末，每二钱，白汤调服。
四顺清凉饮 治血脉壅实，脏腑蓄热，颊赤作渴，五心烦热，睡卧不安，四肢惊掣，或头面生疮，目赤咽痛，
痘疹余毒。（方见大便不通）
四君子汤（方见不靥闷乱）
前胡枳壳汤（方见痘涕唾）
加味逍遥散（方见痘潮热）
泻黄散（方见痘渴泻）
独参汤（方见腹胀气促）
六味地黄丸（方见发热属阴阳）
十全大补汤（方见腹胀气促）
五味异功散（方见寒战切牙）
四物汤（方见痘出迟）
圣济归脾汤（方见痘痈）
犀角地黄汤（即圣济犀角地黄汤，方见顶陷心烦）
清胃散（方见痘痈）
Red or white marks left by smallpox have different causes, and their treatment methods also vary. When the marks are red and itchy, it is due to blood deficiency with internal heat; use Wuwei Zi (Schisandra Fruit) and Mudan Pi (Moutan Cortex). When the marks are red and painful, it is due to residual heat; use Sijunzi Tang (Four Gentlemen Decoction), Lianqiao (Forsythia Fruit), and Jinyinhua (Honeysuckle Flower). If there is fever but the stool is normal and harmonious, it is due to deficiency-heat of the spleen and stomach; use Wuyi Yigong San (Five Agents for Extraordinary Efficacy Powder). If there is fever accompanied by constipation, it is due to internal excess-heat in the intestines and stomach; use Shengji Xijiao Dihuang Tang (Shengji Rhinoceros Horn and Rehmannia Decoction). If the mother has liver fire, treat the child with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If the mother has emotional depression and anger, treat with Jiawei Guipi Tang (Modified Heart-Spleen Tonic Decoction), assisted by Jiawei Xiaoyao San. White marks mostly belong to qi deficiency and blood decline; the fundamental approach should be to consolidate the original qi. If the marks are white with itching and thirst, it is due to deficiency of both qi and blood; use Shiquan Dabu Tang (Ten Complete Tonifying Decoction) and similar formulas. If milk intake decreases and limbs feel fatigued, it is due to deficiency of middle qi; use Wuyi Yigong San and similar formulas. For fever caused by qi deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). For fever caused by blood deficiency, use Danggui Buxue Tang (Angelica Tonify Blood Decoction); one must consider accompanying variable symptoms in treatment. If, after taking medicine, the marks gradually become red and vibrant, the condition is treatable; if the color does not change, it is untreatable. Even years later, death often occurs due to diarrhea and dysentery. Blindly administering attacking/draining medicines brings disaster in an instant.
A child’s smallpox healed on schedule, leaving marks as red as ochre. I stated that this was due to heat in the wet nurse. Examination confirmed liver-spleen depressed fire. First, four doses of Jiawei Xiaoyao San were given to the mother, and a small amount to the child, resulting in recovery for both.
A child had red, painful marks, fever, thirst preferring cold drinks, and difficulty defecating. First, Qianhu Zhike San (Peucedanum and Aurantium Powder) was used. Once bowel movements normalized and thirst ceased, Shengji Xijiao Dihuang Tang was administered to stabilize the condition, followed by celery juice to facilitate scab detachment.
A child had red marks, difficult defecation, dark and scanty urination, and thirst for cold water. This was excess-heat in the upper jiao. My father treated with Xiehuang San (Drain Yellow Powder), achieving immediate cure after one dose; subsequently, Shengji Xijiao Dihuang Tang and celery juice were used for full recovery.
A child had red, painful marks after smallpox resolution, internal heat, thirst, and difficulty in both urination and defecation. My father attributed this to heat-toxin in the stomach meridian and treated with Jisheng Xijiao Dihuang Tang and celery juice for recovery.
A child had white marks, intermittent pain and itching, thirst for hot drinks, and loose stools. This was deficiency-heat of the spleen and stomach. Treatment with Wuyi Yigong San added with Danggui (Angelica Sinensis) and Huangqi (Astragalus) led to recovery.
A sixteen-year-old child had white marks. Several jin of Dushen Tang (Single Ginseng Decoction) were consumed, and the color gradually returned to normal. Subsequently, Dihuang Wan (Rehmannia Pill) and Dabu Tang (Great Tonifying Decoction) stabilized the condition.
After a child recovered from smallpox, marks turned red and occasionally painful due to the mother’s anger. Jiawei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction) and Jiawei Xiaoyao San were used to treat the mother, leading to recovery.
A child had red marks because the wet nurse consumed rich, greasy foods. Qingwei San (Clear Stomach Powder) was used to treat the mother, resulting in the child's spontaneous recovery.
A child had white marks with itching, fever, and loose stools; other medicines were ineffective. I used Wuyi Yigong San, adding one liang of Renshen (Ginseng Root) per dose. After four doses, the fever subsided slightly. Continuing the previous prescription while simultaneously administering Sishen Wan (Four Spirits Pill) led to recovery.
A child had white marks with occasional itching. My father diagnosed deficiency of both qi and blood. The family did not believe this and instead administered detoxifying medicines. The condition later transformed into Manpi Feng (Slow Spleen Wind) and resulted in death.
A man suffered from this condition: white, itchy marks, oozing pus when scratched, aversion to cold, and body fatigue. I diagnosed spleen-lung qi deficiency. The family did not believe this and used wind-dispelling and toxin-resolving medicines. Convulsions ensued, leading to death.
A child suffered from this condition: aversion to cold and fever, intermittent itching or pain, marks varying between white and red. I diagnosed deficiency of both qi and blood. The family failed to understand, using fire-draining and wind-dispelling medicines instead. Spasms developed, leading to death.
A child had white marks and took draining medicines, causing incessant diarrhea. I diagnosed sinking of spleen qi. The family did not believe this, and the child died. The entire body became white like powdered flour, confirming the diagnosis of qi deficiency.
Ge Hua Jie Xing Tang (Kudzu Flower Relieving Intoxication Decoction): Treats residual heat transmitted to the infant through breast milk after the wet nurse consumes alcohol.
Ingredients: Baidoukou (Cardamom Seed), Renchen (Amomum Fructus), Ge Hua (Puerariae Flos) (each 5 qian); Ganshengjiang (Dried Ginger), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried), Zexie (Alisma Rhizome), Shenqu (Medicated Leaven, stir-fried until yellow) (each 1 qian); Baifuling (Poria), Chenpi (Citrus Reticulata Peel), Renshen (Ginseng Root), Zhuling (Polyporus), Muxiang (Aucklandiae Radix) (each 5 fen); Qingpi (Green Citrus Peel) (3 fen).
Preparation and Administration: Grind all ingredients into powder. Take 2 qian each time, mixed with warm water.
Sishun Qingliang Yin (Four Harmonious Cooling Clearing Drink): Treats blood vessel congestion and excess patterns, accumulation of heat in zang-fu organs, red cheeks with thirst, five-palm heat, restless sleep, limb convulsions, sores on the head and face, red eyes, and sore throat; also addresses residual toxins from exanthematous diseases. (Formula see "Constipation")
Sijunzi Tang (Four Gentlemen Decoction) (Formula see "Failure of Scabs to Fall with Restlessness")
Qianhu Zhike Tang (Peucedanum and Aurantium Decoction) (Formula see "Smallpox Nasal Discharge and Saliva")
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (Formula see "Smallpox Tidal Fever")
Xiehuang San (Drain Yellow Powder) (Formula see "Smallpox Thirst and Diarrhea")
Dushen Tang (Single Ginseng Decoction) (Formula see "Abdominal Distension and Shortness of Breath")
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (Formula see "Fever Attributed to Yin and Yang")
Shiquan Dabu Tang (Ten Complete Tonifying Decoction) (Formula see "Abdominal Distension and Shortness of Breath")
Wuyi Yigong San (Five Agents for Extraordinary Efficacy Powder) (Formula see "Chills and Teeth Grinding")
Siwu Tang (Four Substance Decoction) (Formula see "Delayed Smallpox Eruption")
Shengji Guipi Tang (Shengji Heart-Spleen Tonic Decoction) (Formula see "Smallpox Carbuncle")
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) (i.e., Shengji Xijiao Dihuang Tang, Formula see "Depressed Vertex and Mental Restlessness")
Qingwei San (Clear Stomach Powder) (Formula see "Smallpox Carbuncle")